Does a seizure require medication?

Patient's question:

You and I had a recurrence two days ago and went to the hospital for a thorough examination, which revealed it was epilepsy. Hello, in my case, do I need treatment? Can I take topiramate tablets? Besides what other medications can be chosen?

Doctor's answer:

Generally, anyone will experience 1 to 2 relapses similar to symptomatic epilepsy, with a recurrence rate of up to 5%. Among all clinically diagnosed epilepsy patients, only 40% require careful observation or are waiting, and do not need immediate medication. Most patients do not have frequent episodes; approximately one to two episodes per year do not require medication intervention, and careful observation can be maintained.

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